Concentration and microheterogeneity of acute-phase glycoproteins in patients with systemic lupus erythematosus.

I Domysławska, K Kita, A Sulik, B Lewandowski, J Chwiećko, O Kowal-Bielecka, S Sierakowski
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Abstract

Purpose: To determinate glycosylation of selected acute-phase glycoproteins (AGP, ACT, CP) and serum concentration of this proteins in Systemic Lupus Erythematosus (SLE) patients.

Patients and methods: The study was carried out on 35 patients with active SLE and 15 healthy volunteers. The immunological measurements were performed at first day of hospitalisation, before receiving treatment. The concentration of CRP, AGP, ACT and CP were evaluated by electroimmunoassay using anti-AGP, anti-ACT, anti-CP antibodies. CRP levels were determined by radial immunodiffusion with anti-CRP antibodies. The microheterogeneity of the acute phase proteins was assessed by agarose affinity electrophoresis using Con A as a ligand, as was described by Bøg-Hansen.

Results: Between SLE patients and control group statistically significant differences (p < 0.01) were observed in serum concentration of all investigated parameters. There were no significant differences in serum acute-phase proteins levels with regards to patient's age, sex and disease activity. The reactivity coefficients: AGP-RC, ACT-RC, CP-RC in SLE patients were similar to the healthy group. The precipitate curves were similar in both groups. The main difference was in the area of the precipitant, which was bigger in the SLE patients.

Conclusions: Configuration of analysis serum concentration and heterogeneity of acute-phase proteins is one of important diagnostic tests in SLE.

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系统性红斑狼疮患者急性期糖蛋白的浓度和显微异质性。
目的:测定系统性红斑狼疮(SLE)患者急性期糖蛋白(AGP、ACT、CP)的糖基化水平及其血清浓度。患者和方法:研究对象为35例活动性SLE患者和15名健康志愿者。在接受治疗前,在住院第一天进行免疫学测量。采用抗AGP、抗ACT、抗CP抗体电免疫法测定CRP、AGP、ACT、CP的浓度。采用抗CRP抗体放射免疫扩散法测定CRP水平。根据Bøg-Hansen的描述,以Con A为配体,通过琼脂糖亲和电泳评估急性期蛋白的微观异质性。结果:SLE患者与对照组血清各指标浓度差异均有统计学意义(p < 0.01)。血清急性期蛋白水平与患者年龄、性别和疾病活动度无显著差异。SLE患者的反应性系数:AGP-RC、ACT-RC、CP-RC与健康组相似。两组的沉淀曲线相似。主要差异在于沉淀物的面积,SLE患者的沉淀物面积更大。结论:分析急性期蛋白的血药浓度和异质性是SLE诊断的重要指标之一。
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